Maternal & Newborn Nursing Flashcards
7 cards from real LVN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Maternal & Newborn Nursing flashcards as text
A G1P0 client is in the second stage of labor for 2.5 hours. The nurse notes variable decelerations and the provider orders an amnioinfusion. What is the purpose of this intervention?
Answer: Relieve cord compression by instilling fluid into the uterus
Amnioinfusion instills saline into the uterine cavity to cushion the umbilical cord and relieve variable decelerations caused by cord compression.
A postpartum client reports excessive lochia and saturates a pad in 15 minutes. Fundal massage yields large clots. What medication should the nurse anticipate administering?
Answer: Oxytocin (Pitocin)
Oxytocin promotes uterine contraction and is the first-line uterotonic agent for postpartum hemorrhage due to uterine atony.
Which assessment finding in a newborn requires immediate reporting to the provider?
Answer: Grunting with each exhalation
Expiratory grunting is a sign of respiratory distress as the newborn attempts to maintain residual lung volume, requiring immediate evaluation.
The nurse is caring for a client with a diagnosis of hyperemesis gravidarum. Which intervention takes priority?
Answer: Administer IV fluid and electrolyte replacement
IV rehydration and electrolyte correction are the priority interventions for hyperemesis gravidarum to prevent dehydration and metabolic imbalances.
A client is receiving oxytocin for labor induction. The nurse notes contractions every 90 seconds lasting 75 seconds. What is the correct action?
Answer: Discontinue or reduce the oxytocin infusion
Tachysystole (>5 contractions in 10 minutes or contractions lasting >90 seconds) requires stopping or reducing oxytocin to prevent fetal hypoxia.
A nurse is teaching a client about signs of postpartum depression (PPD). Which symptom most distinguishes PPD from baby blues?
Answer: Persistent feelings of worthlessness and inability to care for the infant lasting >2 weeks
PPD is distinguished from baby blues by symptoms lasting more than 2 weeks and significantly impairing the mother's functioning.
A newborn is placed under phototherapy for hyperbilirubinemia. Which nursing action is essential during treatment?
Answer: Cover the infant's eyes with shields and ensure adequate hydration
Eye shields protect the newborn's retinas from phototherapy light damage, and increased fluid intake promotes bilirubin excretion.